Eqram Rahman, William Richard Webb, Parinitha Rao, Shabnam Sadeghi-Esfahlani, Nanze Yu, Patricia E Garcia, Sotirios Ioannidis, Karim Sayed, Wolfgang G Philipp-Dormston, Ada R T Almeida, Woffles T L Wu, Greg J Goodman, Jean D A Carruthers
{"title":"额肌只向一个方向收缩:ai -量子弹性和阻力梯度揭示额肌运动的真实本质。","authors":"Eqram Rahman, William Richard Webb, Parinitha Rao, Shabnam Sadeghi-Esfahlani, Nanze Yu, Patricia E Garcia, Sotirios Ioannidis, Karim Sayed, Wolfgang G Philipp-Dormston, Ada R T Almeida, Woffles T L Wu, Greg J Goodman, Jean D A Carruthers","doi":"10.1007/s00266-025-04924-7","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The biomechanics of frontalis muscle contraction and its interaction with skin remain contentious, particularly the debated bidirectional movement theory. This study introduces the quantum elasticity and resistance gradient (QERG) model to explain observed skin dynamics during frontalis contraction using elastic resistance principles.</p><p><strong>Methods: </strong>An AI-driven biomechanical model incorporating deep learning frameworks (TensorFlow, PyTorch) was developed to simulate skin deformation and muscle forces during frontalis contraction. The model was trained using 3D facial scans from a diverse cohort of 600 subjects, representing various ethnicities, genders, and ages. Resistance gradients and wrinkle formation were calculated using finite element analysis, and machine learning (random forest, deep neural networks) was employed to predict skin behaviour.</p><p><strong>Results: </strong>Cranial displacement averaged 6.9 mm across all subjects, with younger individuals (18-30 years) showing higher displacement than older individuals (50-65 years). Ethnic differences in displacement and wrinkle formation were observed, with Caucasians exhibiting greater displacement (7.3 mm) compared to African Americans and Asians (6.0 mm and 5.8 mm). The QERG model predicted skin folding at an average threshold of 41.2 mm above the eyebrows, with variations linked to ethnicity, age, and gender. AI models achieved high accuracy (R<sup>2</sup> = 0.96), validating the model's predictive power.</p><p><strong>Conclusion: </strong>The QERG model confirms that frontalis muscle contraction is unidirectional, with skin folding attributed to elastic resistance rather than opposing forces. These findings challenge previous theories of bidirectional contraction and have implications for aesthetic treatments.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Frontalis Only Contracts in One Direction: AI-Quantum Elasticity and Resistance Gradient Reveals True Nature of Forehead Muscle Movement.\",\"authors\":\"Eqram Rahman, William Richard Webb, Parinitha Rao, Shabnam Sadeghi-Esfahlani, Nanze Yu, Patricia E Garcia, Sotirios Ioannidis, Karim Sayed, Wolfgang G Philipp-Dormston, Ada R T Almeida, Woffles T L Wu, Greg J Goodman, Jean D A Carruthers\",\"doi\":\"10.1007/s00266-025-04924-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The biomechanics of frontalis muscle contraction and its interaction with skin remain contentious, particularly the debated bidirectional movement theory. This study introduces the quantum elasticity and resistance gradient (QERG) model to explain observed skin dynamics during frontalis contraction using elastic resistance principles.</p><p><strong>Methods: </strong>An AI-driven biomechanical model incorporating deep learning frameworks (TensorFlow, PyTorch) was developed to simulate skin deformation and muscle forces during frontalis contraction. The model was trained using 3D facial scans from a diverse cohort of 600 subjects, representing various ethnicities, genders, and ages. Resistance gradients and wrinkle formation were calculated using finite element analysis, and machine learning (random forest, deep neural networks) was employed to predict skin behaviour.</p><p><strong>Results: </strong>Cranial displacement averaged 6.9 mm across all subjects, with younger individuals (18-30 years) showing higher displacement than older individuals (50-65 years). Ethnic differences in displacement and wrinkle formation were observed, with Caucasians exhibiting greater displacement (7.3 mm) compared to African Americans and Asians (6.0 mm and 5.8 mm). The QERG model predicted skin folding at an average threshold of 41.2 mm above the eyebrows, with variations linked to ethnicity, age, and gender. AI models achieved high accuracy (R<sup>2</sup> = 0.96), validating the model's predictive power.</p><p><strong>Conclusion: </strong>The QERG model confirms that frontalis muscle contraction is unidirectional, with skin folding attributed to elastic resistance rather than opposing forces. These findings challenge previous theories of bidirectional contraction and have implications for aesthetic treatments.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. 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Frontalis Only Contracts in One Direction: AI-Quantum Elasticity and Resistance Gradient Reveals True Nature of Forehead Muscle Movement.
Background: The biomechanics of frontalis muscle contraction and its interaction with skin remain contentious, particularly the debated bidirectional movement theory. This study introduces the quantum elasticity and resistance gradient (QERG) model to explain observed skin dynamics during frontalis contraction using elastic resistance principles.
Methods: An AI-driven biomechanical model incorporating deep learning frameworks (TensorFlow, PyTorch) was developed to simulate skin deformation and muscle forces during frontalis contraction. The model was trained using 3D facial scans from a diverse cohort of 600 subjects, representing various ethnicities, genders, and ages. Resistance gradients and wrinkle formation were calculated using finite element analysis, and machine learning (random forest, deep neural networks) was employed to predict skin behaviour.
Results: Cranial displacement averaged 6.9 mm across all subjects, with younger individuals (18-30 years) showing higher displacement than older individuals (50-65 years). Ethnic differences in displacement and wrinkle formation were observed, with Caucasians exhibiting greater displacement (7.3 mm) compared to African Americans and Asians (6.0 mm and 5.8 mm). The QERG model predicted skin folding at an average threshold of 41.2 mm above the eyebrows, with variations linked to ethnicity, age, and gender. AI models achieved high accuracy (R2 = 0.96), validating the model's predictive power.
Conclusion: The QERG model confirms that frontalis muscle contraction is unidirectional, with skin folding attributed to elastic resistance rather than opposing forces. These findings challenge previous theories of bidirectional contraction and have implications for aesthetic treatments.
Level of evidence iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
期刊介绍:
Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP).
Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships.
Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.